Organization
CROWN DENTISTRY LLC
Active
Other names
Crown Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL GONZALEZ (GENERAL MANAGER)
(305) 512-4589
Entity
Organization
Contact information
Practice address
3217 VINELAND RD, KISSIMMEE, FL 34746-4907
(407) 655-4700
(407) 279-0740
Mailing address
3408 W 84TH ST STE 217, HIALEAH, FL 33018-4943
(305) 512-4589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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